CH Core (R4)
7.0.0-ballot - ballot Switzerland flag

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Extensions

  • Entry Resource Cross References

    Extension to make a reference beween resources as entries in i.e. document bundles.

  • Place of Birth according to eCH-0011

    The registered place of birth of the patient.

  • Place of Origin according to eCH-0011

    The place of origin of the patient.

  • Substitution

    This extension is used to indicate whether the medication can be substituted for this patient, i.e. whether it is allowed. (For a prescription, MedicationRequest.substitution is used to record whether a substitution is allowed or not. When dispensing, a performed substitution is recorded in MedicationDispense.substitution.)

  • Treatment Reason

    Extension to represent the treatment reason

  • If an encounter is caused by an accident

    Extension to define an encounter that is caused by an accident and at which time the accident happened

  • Author of the content

    Extension to reference the person (and her/his organization) who is responsible for the content (e.g. an author of an eMedication document or a recorder of an immunization). This extension is used to differentiate on entry level between the author of the content (represented with this extension) and the author of the medical decision or the performer of an event (represented e.g. with Resource.performer/informationSource).

  • BFS Extension Medical Statistic: Admit Role for Encounter

    BFS Extension Admit Role for Encounter

  • BFS Extension Medical Statistic: Discharge Décision for Encounter

    BFS Extension Discharge Décision for Encounter

  • BFS Extension Medical Statistic: Discharge Destination for Encounter

    BFS Extension Discharge Destination for Encounter

  • BFS Extension Medical Statistic: Encounter Type (Class) for Encounter

    BFS Extension Encounter Type (Class) for Encounter

  • Biller

    Extension to reference the biller in the case of a professional service or product provided.

  • Address Line Type

    eCH-0010: Extension to define line types for addresses

  • First Name

    eCH-0011: Extension to define first name type

  • Marital Data - Separation Type

    eCH-0011: Extension to define the separation type. For married but separated persons and for persons in a registered partnership but living separately.

  • Name

    eCH-0011: Extension to define name type

  • eCH-0046 Email Category

    Extension to define the e-mail category according to eCH-0046

  • eCH-0046 Internet Category

    Extension to define the internet category according to eCH-0046

  • eCH-0046 Phone Category

    Extension to define the phone category according to eCH-0046

  • eCH-0007 Municipality Id – BFS Gemeindenummer

    eCH-0007: Extension to define a BFS Number for a municipality

  • Encounter, Suspected Readmission

    Encounter Extension for suspected readmission

  • Indication Code

    Indication Code, as defined by the FOPH list of healthcare benefits to be conveyed when referring to prescription/dispense/billing of medicinal products subject to a price model as defined by the FOPH.

    Background: This extension was introduced in CH Core because the indication code of the FOPH Specialities List (SL) has to be conveyed in billing and medication workflows:

    • Billing: The XML standard generalInvoice 5.0 of Forum Datenaustausch conveys the SL indication code for drug records (tariff type 402) as xtra_service with the token SLIndication (e.g. SLIndication='21316.01'), see the documentation generalInvoiceRequest500.chm (chapter xtra_service). CH ALIS Connect maps the ALIS parameter SLIndicationCode to this extension in its ChargeItem profile, so that the code can be conveyed from the clinical system to the invoice.

    Regulation: Since 1 July 2026 the indication code has to be stated on every prescription and invoice in the ambulatory sector for medicinal products subject to a price model (mark "MP" in the SL). From 1 January 2027 insurers may return invoices without the indication code. For medicinal products without a price model, and for DRG case flat rates and supplementary remunerations, the indication code is recommended but optional. See the FOPH circular of 19 February 2026 and information letter of 9 July 2026, legal basis Art. 42 para. 3 KVG and Art. 59 para. 1 KVV.

    Usage: The extension is optional in the CH Core profiles, derived implementation guides (e.g. CH ALIS Connect) define where it is required to fulfil the regulation above.

    Code list: The indication codes are assigned and maintained by the FOPH as part of the SL and are published together with the SL (see CH EPL, indicationCode). Since 1 August 2026 the ePL generates the indication code automatically for newly entered limitations. CH Core does not define or maintain this code list, updates follow the publication of the SL by the FOPH.

  • EPR Confidentiality Code

    Extension for the confidentiality code according to the Swiss EPR regulation

  • EPR Data Enterer

    Extension to define the information about the person and organization that entered data and the time of the data input. Note: This extension has its origin from CDA and is deprecated. It will be removed in a future version.

  • EPR Information Recipient

    Extension for a recipient of this document (corresponds to the addressee of a letter - person or organization). DEPRECATED: This extension has CDA origins and will be removed in a future version.

  • EPR Time

    Additional timestamp for the author or other elements. Note: This extension has its origin from CDA and is deprecated. It will be removed in a future version.

  • Responsible

    Extension to reference the responsible for a professional service or product provided.